Verification of Benefits Representative

Summary Statement

For more than a century, Ottobock has pursued the mission of helping people living with limb loss or mobility challenges regain or maintain their freedom of movement. We do this through the development of leading prosthetic, orthotic and wheelchair innovation and an unwavering commitment to delivering superior patient care experiences. As a growing healthcare company, we continue to invest in both our people and new service offerings. With more than 8,000 employees worldwide and 1,100 across North America, we are dedicated to advancing the O&P industry and improving the lives of the people served by it.

We are looking for a Verifications of Benefits Representative at our Spring House, PA location. This is a single person office in a professional office building and the position requires the employee to work in the office Monday-Friday any 8 hour period between 7am – 5:30pm; however the start time must be consistent each day. You will be required to train at our Ottobock North America office in Austin, TX for one week.  

Duties & Responsibilities

• Perform insurance verifications and authorizations for orthotic and/or prosthetic devices to ensure coverage for each code used for each device ordered for a patient. 
• ​Collaborate with other team members and communicate requirements pertaining to their patient’s insurance coverage. 
• ​Communicate accurate benefits to the patient or applicable customer. 
• ​Explain co-insurance and deductible amounts to patient or applicable customer and collect if possible. 
• ​Process all authorization requests that are required by the patient’s insurance carrier through live communication via phone with carrier’s or using insurance carrier online portals to obtain the most up to date benefit information. 
• ​Create patient account profile in the Medical Record system, manage the collection of medical documentation required to secure authorization for patient cases across all offices, and update patient file with appropriate notes accordingly. 
• ​Communicate any changes in requirements for verification or authorization by insurance carriers to manager for training and compliance updates. 
• ​Answer calls in a timely and professional manner and provide excellent customer service. 
• ​Participate in training programs for continuing learning and development. 
• ​Comply with Corporate Compliance and HIPAA responsibilities. 
• ​Observe and communicate to management any opportunities to streamline processes and improve efficiency in day-to-day operations. 
• ​Perform other duties and special projects as assigned.​ 
• Maintain all established standards required by Payers, Local and Federal Governments, Accrediting Agency, and Ottobock’s Policies.
• Ensure location meets accreditation requirements and submit audit paperwork to the Compliance Specialist.
• Help correct deficiencies as they are identified.
• Consistently demonstrate professional demeanor (including dress code, company property use, etc.).
• Greet visitors and participate in successfully completing regulatory and/or accreditation site visits/audits.
• Additional duties as assigned.

Qualifications

• Ability to work independently.
• Ability to prioritize and manage multiple tasks to completion.
• Outstanding verbal and written communications skills.
• Exceptional organizational skills.
• Minimum typing of 45 wpm; Excellent ten-key skills.
• Professional telephone manner: Ability to hear, communicate and comprehend by telephone for prolonged periods.
• Advanced problem-solving skills and demonstrated ability to use good judgment in resolving customer service issues.
• Ensures assigned work is complete and accurate by the end of work shift daily, weekly, and monthly.
• Strong computer skills; Proficient in MS Office and databases.
• High school diploma or equivalent required; Associate degree in a relevant field preferred.
• Minimum 2 years’ experience in medical billing, preferably with orthotics, prosthetics, and/or durable medical equipment industry.
• Experience with HIPAA regulations and Medicare and insurance carrier websites.
• Experience utilizing Healthcare Common Procedure Coding (HCPCS) and International Classification of Diseases (ICD) 10 billing codes.

Benefits

• Medical
• Vision
• Dental
• Health savings accounts with employer contribution
• Flexible spending account options
• Company-paid life insurance policy
• Paid time off
• Company holidays
• Floating holidays
• 100% company-paid short & long-term disability
• 401k match up to 3.5%